摘要
介绍杨小军教授基于“木郁达之”治疗上腹痛综合征(EPS)的临床经验。杨小军教授认为情志因素在上腹痛综合征的发生、发展中发挥了至关重要的作用,该病存在“因病而郁”和“因郁而病”的因果联系,病情缠绵反复导致患者情志不畅,气机郁滞,加重疼痛,情志不畅则致肝气郁结,横逆伤胃,胃气壅滞,不通而痛。“木郁达之”首见于《黄帝内经》,即通过疏畅条达肝气之法以解肝木之郁,经过后世医家的传承发展,延伸出了多种调肝解郁之法。杨教授在临证时主张基于“木郁达之”理论,综合运用疏肝理气、和胃止痛、解郁安神、升阳除湿等治法,并结合饮食情志调养以防复发。
This paper introduced Professor Yang Xiaojun’s clinical experience in treating epigastric pain syndrome based on the theory of facilitating the liver stagnation.Professor Yang Xiaojun believes that emotional factors play a crucial role in the occurrence and development of epigastric pain syndrome.It has a causal link between“depression due to illness”and“illness due to depression”.The lingering illness leads to the patient’s poor feelings,stagnation of qi,and more pain.If the emotion is not smooth,the liver qi will be depressed,and the stomach will be injured.The stomach qi stagnates and causes pain.“Facilitating the liver stagnation”was first seen in Huangdi Neijing,that is,the method of relieving the depression of liver by smoothing the liver qi.Through the inheritance and development of later generations of physicians,a variety of methods of regulating the liver and relieving depression have been extended.In clinical practice,Professor Yang,under the guidance of“facilitating the liver stagnation”,comprehensively applied such therapeutic principle as soothing liver and regulating qi,harmonizing stomach to relieve pain,relieving depression and tranquilizing mind,elevating yang and draining dampness,and combined with dietary and emotional regimen to prevent recurrence.
作者
刘女萍
段敏
杨小军
LIU Nyuping;DUAN Min;YANG Xiaojun(Grade 2021 Graduate,Guizhou University of Traditional Chinese Medicine,Guizhou Province,Guiyang 550002,China;Department of Spleen and Stomach Diseases,Chongqing Hospital of Traditional Chinese Medicine,Chongqing 400021,China)
出处
《光明中医》
2023年第17期3331-3334,共4页
GUANGMING JOURNAL OF CHINESE MEDICINE
基金
王仁强名老中医药专家传承工作室项目(No.cqzyymzygzs-018)。
关键词
胃痛
上腹痛综合征
木郁达之
名医经验
杨小军
gastrodynia
epigastric pain syndrome
facilitating the liver stagnation
experience of prestigious
Yang xiaojun
